Individual provider Active NPI

Alberto Ivan Weber, P.T.A.

  • Physical Therapy Assistant
  • El Paso, TX
National Provider Identifier
1871642819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2047983 Issued in TX
Practice address
1891 N Lee Trevino Dr
Suite 700
El Paso, TX 79936-4127
Phone
(915) 593-3787
Fax
(915) 590-9165
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2047983 TX Primary

Addresses

Primary practice location

1891 N Lee Trevino Dr
Suite 700
El Paso, TX 79936-4127

Mailing address

1891 N Lee Trevino Dr
Suite 700
El Paso, TX 79936-4127
Phone (915) 593-3787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2047983TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Physical Therapy Specialists LLC PastSince Mar 28, 2020 Accepting new patients
El Paso Therapy Services Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871642819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 N LEE TREVINO DR",
            "address_2": "SUITE 700",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364127",
            "telephone_number": "915-593-3787",
            "fax_number": "915-590-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 N LEE TREVINO DR",
            "address_2": "SUITE 700",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364127",
            "telephone_number": "915-593-3787",
            "fax_number": "915-590-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ALBERTO",
        "middle_name": "IVAN",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2047983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.